Purpose:To develop an experimental method for measuring the effective detective quantum efficiency (eDQE) of digital radiographic imaging systems and evaluate its use in select imaging systems.
Materials and Methods:A geometric phantom emulating the attenuation and scatter properties of the adult human thorax was employed to assess eight imaging systems in a total of nine configurations. The noise power spectrum (NPS) was derived from images of the phantom acquired at three exposure levels spanning the operating range of the system. The modulation transfer function (MTF) was measured by using an edge device positioned at the anterior surface of the phantom. Scatter measurements were made by using a beamstop technique. All measurements, including those of phantom attenuation and estimates of x-ray flux, were used to compute the eDQE.
Results:The MTF results showed notable degradation owing to focal spot blur. Scatter fractions ranged between 11% and 56%, depending on the system. The eDQE(0) results ranged from 1%-17%, indicating a reduction of up to one order of magnitude and different rank ordering and performance among systems, compared with that implied in reported conventional detective quantum efficiency results from the same systems.
Conclusion:The eDQE method was easy to implement, yielded reproducible results, and provided a meaningful reflection of system performance by quantifying image quality in a clinically relevant context. The difference in the magnitude of the measured eDQE and the ideal eDQE of 100% provides a great opportunity for improving the image quality of radiographic and mammographic systems while reducing patient dose. Note: This copy is for your personal, non-commercial use only. To order presentation-ready copies for distribution to your colleagues or clients, use the Radiology Reprints form at the end of this article.
Image quality is an important attribute of an imaging system, as it can have a measurable effect on the diagnostic utility and clinical usability of a system. To ensure sufficient and consistent performance, it is necessary to be able to assess image quality quantitatively so that it can be optimized and monitored to maintain a high level of clinical care. In the past few years, the most recognized and comprehensive metric of image quality performance for digital radiographic and mammographic systems has been the detective quantum efficiency (DQE), a measure of the efficiency of a detector when using the input signal-to-noise ratio (SNR) provided by a limited number of x-ray photons to form an image at a certain exposure or dose level. With measurement methods largely standardized (1-5), a number of studies have reported the variations in DQE performance of these imaging systems (6-9).While the DQE provides a quantitative measure of image quality per unit of exposure to the detector, it does not include some important attributes of the total system that affect the quality of images captured clinically. Clinical images are affected by the presence of scattered radiation, ...